Hashis/Hyper: Medicate or Not?

[nereik]

I have been in remission from Hashimotos for 10 years. During my second pregnancy, my thyroid numbers went hyper, but normalized after delivery. After my third and most recent pregnancy, labs went hyper, but are still abnormal at 12 months postpartum. I started the Paleo Autoimmune Protocol in January and my numbers have been improving. I have been unmedicated all this time, but endo wants me to start 5 mg of methamizole.

I had an ultrasound this month and it was normal - no masses or modules. I've been trying to avoid medication, because I'm breastfeeding, have seen results with healthy eating, and I was to to try and conceive soon.

I started Vitamin D3 today. It seems that my numbers have improved every month without medication. I am so afraid that the methamizole will turn me hypo or make things worse. I'm also not sure whether medicating or not is best for current breastfeeding and wanting to have another baby soon... Here are labs:

Mid April 2016

TSH <0.01
Free T4 2.2
Free T3 356 (210-440)
T3 Total 146 (76-181)

April 2016 (12 months pp)

TSH <0.01
Free T4 2.4
T3 Total 182

Feb 2016 (10 months pp)

TSH <0.01
Free T4 2.4
T3 Total 200 (80-200)
TSI 115 (<140)

Dec 2015 (8 months postpartum)

TSH <0.01 (0.45-4.5)
Free T4 3.8 (0.8-1.7)
Free T3 13.5 (2.0-4.8)

March 2015 (37 weeks)

TSH 0.582 (0.45-4.5)
Free T4 Direct 0.94 (0.82-1.77)
Free Triiodothyronine 2.3 (2-4.4)
Vitamin D 30.2 (30-100)

Feb 2015 (33 weeks)

TSH 0.376
Free T4 1.0
T4 11.2 (4.5-12)
T3 170 (71-180)
Thyroid Stim Immuno 57 (0-139)

Jan 2015 (28 weeks)

T4 10.6 (4.5-12)
T3 Uptake 15 (24-39)
Free Thyroxine 1.6 (1.2-4.9)
Vitamin D 28 (30-100)
TPO 40 (0-34)

Nov 2014 (17 weeks)

TSH 0.006
T4 Free 0.96 (0.82-1.77)
Triiodothyronine Free 2.5 (2-4.4)
TPO 72

[Barb135]

What's the reference rang e for the current Free T4?  In order for us to give the best advice, we  have to compare results with the ranges from that particular lab draw.  As you can see the ranges varied with each draw.